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[CT in radiation enteritis].

C Solduga1, C Torrents, R Comet

  • 1Servicio de Radiodiagnóstico, Hospital General, Residencia Sanitaria Vall d'Hebron, Barcelona.

Revista Espanola De Enfermedades Digestivas
|October 1, 1991
PubMed
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Computed tomography reveals radiation therapy effects on pelvic malignancies, showing bowel wall thickening and mesenteric changes. These findings aid in differentiating post-treatment conditions from other pathologies.

Area of Science:

  • Radiology
  • Oncology
  • Gastroenterology

Background:

  • Pelvic malignancies often require radiation therapy, which can cause secondary changes in adjacent organs.
  • Understanding these post-treatment changes is crucial for accurate interpretation of imaging studies.

Purpose of the Study:

  • To retrospectively review computed tomography (CT) findings in patients treated for pelvic malignancies.
  • To identify and describe characteristic CT features associated with pelvic radiation therapy.

Main Methods:

  • Retrospective review of CT scans from 18 patients who underwent radiation therapy for pelvic malignancies.
  • Analysis of imaging features including bowel wall thickening, mesenteric changes, and involvement of rectal and presacral spaces.

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Main Results:

  • Common findings included bowel wall thickening, predominantly in central areas and anteriorly.
  • Mesenteric thickening without discrete masses was observed.
  • Rectal and presacral space involvement were also noted characteristics.

Conclusions:

  • CT demonstrates specific patterns following pelvic radiation therapy for malignancies.
  • These findings are important for the differential diagnosis of abdominal and pelvic abnormalities in treated patients.